ROBERT A. NICKELSON M.D.
NPI 1023019064
Internal Medicine - Hematology & Oncology in Shreveport, LA
NPI Status: Active since August 01, 2005
Contact Information
2600 KINGS HWY
SUITE 340
SHREVEPORT, LA
ZIP 71103
Phone: (318) 212-8620
Fax: (318) 212-8625
- Individual
- Male
- Internal Medicine
- Hematology & Oncology
- PECOS Enrolled
About ROBERT NICKELSON
This page provides the complete NPI Profile along with additional information for Robert Nickelson, an internist established in Shreveport, Louisiana with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1023019064 assigned on August 2005. The practitioner's primary taxonomy code is 207RH0003X with license number 015593 (LA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1023019064
- Provider Name
- ROBERT A. NICKELSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103
- Location Phone
- (318) 212-8620
- Location Fax
- (318) 212-8625
- Mailing Address
- 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103
- Mailing Phone
- (318) 212-8620
- Mailing Fax
- (318) 212-8625
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2005
- Last Update Date
- 12-18-2007
- Code Navigator
An internist like Robert Nickelson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 015593
- License State
- LA
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5K851 | MEDICARE PIN (08) | LA | |
| 1322741 | MEDICAID (05) | LA |
Medicare Participation & PECOS Enrollment Status
Robert Nickelson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 71103 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $164.73
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $41.18
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 0 | 1 | 9 | 0 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 0 | 1 | 18 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 0 + 1 + 1 + 8 + 0 + 1 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1023019064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477519858 | CHARLES HARGON MD AND WILLIS-KNIGHTON MEDICAL CENTER Organization | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1861423006 | ANIL VELUVOLU MD AND WILLIS-KNIGHTON MEDICAL CENTER Organization | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1831119197 | LANE RANDALL ROSEN M.D. Individual | Radiology (Radiation Oncology) | 2600 KINGS HWY SHREVEPORT, LA 71103 (318) 212-4639 |
| 1083797245 | HEIDI E WIMBERLY PA-C Individual | Physician Assistant (Medical) | 2600 KINGS HWY DEPARTMENT OF RADIATION ONCOLOGY SHREVEPORT, LA 71103 (318) 212-4639 |
| 1124174644 | ANIL VELUVOLU MD Individual | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1447475603 | MR. DAVID BRUCE CARRINGTON RPH Individual | Pharmacist | 2600 KINGS HWY SUITE 212 SHREVEPORT, LA 71103 (318) 212-8036 |
| 1740493923 | WK GYNECOLOGIC ONCOLOGY CLINIC Organization | Obstetrics & Gynecology (Gynecologic Oncology) | 2600 KINGS HWY SUITE 420 SHREVEPORT, LA 71103 (318) 212-8727 |
| 1528330305 | ANDREA MARIE MOORE FNP Individual | Clinical Nurse Specialist (Family Health) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1922478304 | WK RADIATION ONCOLOGY SERVICES Organization | Radiology (Radiation Oncology) | 2600 KINGS HWY SHREVEPORT, LA 71103 (318) 212-4639 |
| 1457615395 | CHIACHIEN JAKE WANG MD Individual | Radiology (Radiation Oncology) | 2600 KINGS HWY SHREVEPORT, LA 71103 (318) 212-4639 |
| 1093741142 | JOYCE E FEAGIN MD AND WILLIS-KNIGHTON MEDICAL CENTER Organization | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1871521427 | ROBERT NICKELSON MD AND WILLIS-KNIGHTON MEDICAL CENTER Organization | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1093006603 | DANIELLA PHUONG-DI DANG M.D. Individual | Radiology (Radiation Oncology) | 2600 KINGS HWY SHREVEPORT, LA 71103 (318) 212-4639 |
| 1265439863 | DR. MICHAEL LEONARD DURCI M.D. Individual | Radiology (Radiation Oncology) | 2600 KINGS HWY WILLIS KNIGHTON CANCER CENTER SHREVEPORT, LA 71103 (318) 212-4639 |
| 1285660316 | JOYCE ELIZABETH FEAGIN MD Individual | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SHREVEPORT, LA 71103 (318) 212-8620 |
| 1215943642 | DR. SANFORD RORY KATZ M.D. Individual | Radiology (Radiation Oncology) | 2600 KINGS HWY SHREVEPORT, LA 71103 (318) 212-4639 |
| 1306062625 | DESTIN R. BLACK MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 2600 KINGS HWY SUITE 420 SHREVEPORT, LA 71103 (318) 212-8727 |
| 1699764589 | DR. MAXWELL C MCDONALD III MD Individual | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1316982549 | WK HEMATOLOGY ONCOLOGY ASSOCIATES Organization | Internal Medicine (Hematology & Oncology) | 2600 KINGS HWY SUITE 340 SHREVEPORT, LA 71103 (318) 212-8620 |
| 1659767127 | DR. SERGIO JARAMILLO M.D. Individual | Radiology (Radiation Oncology) | 2600 KINGS HWY SHREVEPORT, LA 71103 (318) 212-8300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023019064, enumerated in the NPI registry as an "individual" on August 01, 2005
The provider is located at 2600 Kings Hwy Suite 340 Shreveport, La 71103 and the phone number is (318) 212-8620
The provider's speciality is Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $164.73 with an average copayment of $41.18 for new patient appointments. Established patients should expect a typical charge of $95.09 and an average copayment of 23.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 01, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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